2024 NCQA Health Plan Ratings for US Family Health Plan

Martin’s Point US Family Health Plan Earns 4-Star NCQA Rating

The National Committee on Quality Assurance (NCQA) has awarded the Martin’s Point US Family Health Plan a health plan rating of 4 out of 5 stars for quality performance in 2024. This includes earning a 5 out of 5 rating for Patient Experience measures.

The overall Health Plan Rating is the weighted average of Martin’s Point Clinical Quality measures.

Quality Measures

• Clinical quality measures: Based on NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®), including preventive services and recommended care for specific conditions.
• Consumer satisfaction scores: Based on Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey results, assessing patient experience with providers, services, and customer support.
• Bonus points: Awarded based on NCQA accreditation scoring of health plan quality processes.

What Health Plan Ratings Measure

The HEDIS and CAHPS measures included in Health Plan Ratings address:

• Patient Experience: Getting Care, Satisfaction with Plan Physicians, Satisfaction with Plan Services.
• Prevention: Children and Adolescent Well-Care, Women's Reproductive Health, Cancer Screening, Other Preventive Services.
• Treatment: Asthma, diabetes, heart disease, behavioral health, and other chronic conditions.

Where to Find Health Plan Ratings

Health Plan Rating results are refreshed every September, and results can be accessed at NCQA Health Plan Ratings.

Choose the year, select Private (Commercial) - Select All States - Martin’s.